Fibroblast growth factor/fibroblast growth factor receptor system in angiogenesis
Introduction
Angiogenesis, the process of new blood vessel formation from pre-existing ones, plays a key role in various physiological and pathological conditions, including embryonic development, wound repair, inflammation, and tumor growth [1]. The local, uncontrolled release of angiogenic growth factors and/or alterations of the production of natural angiogenic inhibitors, with a consequent alteration of the angiogenic balance [2], are responsible for the uncontrolled endothelial cell proliferation that takes place during tumor neovascularization and in angiogenesis-dependent diseases [3].
Angiogenesis is a multi-step process that begins with the degradation of the basement membrane by activated endothelial cells that will migrate and proliferate, leading to the formation of solid endothelial cell sprouts into the stromal space. Then, vascular loops are formed and capillary tubes develop with formation of tight junctions and deposition of new basement membrane [4].
Numerous inducers of angiogenesis have been identified, including the members of the vascular endothelial growth factor (VEGF) family, angiopoietins, transforming growth factor-α and -β (TGF-α and -β), platelet-derived growth factor (PDGF), tumor necrosis factor-α (TNF-α), interleukins, chemokines, and the members of the fibroblast growth factor (FGF) family.
Historically, a tumor angiogenic factor (TAF) was first isolated in 1971 from rat Walker 256 carcinoma [5]. TAF had a molecular weight of about 10 kDa and consisted of 25% RNA, 10% proteins, and 58% carbohydrates, plus a possible lipid fraction. The 1980s saw for the first time the purification to homogeneity of pro-angiogenic proteins, the breakthrough coming as a result of the observation that endothelial cell growth factors showed a marked affinity for heparin [6], [7]. This led to the identification, purification, and sequencing of the two prototypic heparin-binding angiogenic growth factors FGF1 and FGF2. Since then, 22 structurally-related members of the FGF family have been identified [8]. FGFs are pleiotropic factors acting on different cell types, including endothelial cells, following interaction with heparan-sulfate proteoglycans (HSPGs) and tyrosine kinase FGF receptors (FGFRs). To date, more than 1200 PubMed-referenced papers related to FGFs and FGFRs in endothelial cells and during neovascularization have been published. This review will focus on the role of the FGF/FGFR system in angiogenesis.
Section snippets
Pro-angiogenic activity of FGFs
As stated above, FGFs exert their biological activities by binding to high affinity tyrosine kinase FGFRs on the surface of target cells. In vitro, endothelial cells of different origin express FGFR1 [9], [10] and, under some circumstances, FGFR2 [11] whereas the expression of FGFR3 or FGFR4 has never been reported in endothelium.
Only a limited number among the 22 members of the FGF family have been investigated for their angiogenic potential in vitro and in vivo, the bulk of experimental data
FGF interaction with endothelial cell surface, extracellular matrix, and free molecules
As stated above, FGFs interact with signaling FGFRs expressed on the endothelial cell surface. However, various other binding partners can affect the biological activity and angiogenic potential of FGFs (Fig. 2). These molecules can interact with FGFs in the extracellular environment, thus modulating their bioavailability, stability, local concentration, interaction with endothelial receptors, and intracellular fate. The complexity of this network of interactions is manifold: (i) FGF-binding
Experimental tumors
Various tumor cell lines express FGF2 [174], [175] and the appearance of an angiogenic phenotype correlates with the export of FGF2 during the development of fibrosarcoma in a transgenic mouse model [176]. Antisense cDNAs for FGF2 and FGFR1 inhibit neovascularization and growth of human melanomas in nude mice [177]. Also, the anti-angiogenic activity of IFN-α/β appears to be related, at least in part, to the capacity to down-regulate FGF2 expression [178]. These data suggest that FGF2
FGF-dependent angiogenesis and inflammation
Inflammation is the response of a vascularized tissue to sub-lethal injury, designed to destroy or inactivate invading pathogens, remove waste and debris, and permit restoration of normal function, either through resolution or repair.
Inflammation may promote FGF-dependent angiogenesis (Fig. 4). Inflammatory cells, including mononuclear phagocytes [204], [205], CD4+ and CD8+ T lymphocytes [206], [207], and mast cells [208] can express FGF2. Moreover, osmotic shock and shear stress induce the
FGFs and therapeutic angiogenesis
Therapeutic angiogenesis represents a possible approach to the treatment of severe ischemic diseases in patients with coronary (CAD) or peripheral (PAD) artery injury. Aim of this therapy is to restore and maintain tissue perfusion by increasing the number of collateral blood vessels within the ischemic territories following the delivery of specific angiogenic growth factors. Different delivery methods, including intravenous, intracoronary, intramyocardial and intrapericardial routes, are
Acknowledgements
Limitations of space preclude extensive citation of the literature; we apologize with those whose work is not mentioned herein. This work was supported by grants from AIRC, MIUR (Centro di Eccellenza “IDET”, Firb 2001, Cofin 2002, and Cofin 2004), ISS (Oncotechnological Program), and Fondazione Berlucchi to MP and from MIUR (Cofin 2003) and ISS (AIDS Project) to MR.
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